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TD Global Healthcare Leaders Index ETF (TDOC) and BMO SPDR Health Care Select Sector Index ETF (ZXLV) offer distinct profiles for Canadian ETF investors. A direct comparison shows that TDOC focuses its top 3 sector exposures on Health Care, Consumer Staples, and Information Technology, while ZXLV leans towards Health Care. When evaluating costs, TDOC features a management fee (MER) of 0.35%, compared to 0.21% for ZXLV. Performance-wise, TDOC has returned 2.82% year-to-date with +$30 M in net flows, whereas ZXLV is at 1.57% with +$7 M. Use the comparison tool below to benchmark these funds across top 10 holdings, yield, sector weights and historical returns.
NAV Performance and Flows
Key Data
Compare
TDOC
ZXLV
| AuM | $121.85 M | $21.27 M |
| Management Fees | 0.35% | 0.21% |
| Exp. ratio | 0.39% | 0.21% |
| Tracking Difference | -0.42% | - |
Historical performance and flows
As of June 11, 2026
| 1M | 3M | YTD | 1Y | 3Y | ||
|---|---|---|---|---|---|---|
| Perf. | TDOC | +5.37% | -0.48% | -2.82% | +6.68% | +15.93% |
ZXLV | +9.94% | +3.95% | +1.57% | +17.59% | - | |
| Flows | TDOC | +$15 M | +$21 M | +$30 M | +$39 M | +$72 M |
ZXLV | +$4 M | +$4 M | +$7 M | +$19 M | - |
TDOC vs ZXLV exposure
Countries
TDOC
USA
61.08%
Japan
7.94%
Other
30.98%
ZXLV
USA
97.39%
Sectors
TDOC
Health Care
89.63%
Other
9.16%
ZXLV
Health Care
98.41%
As of June 11, 2026
Top 10 Holdings
TDOC
JOHNSON&JOHNSON
2.36%
GSK PLC
2.32%
PFIZER
2.31%
UNITEDHEALTH GRP
2.26%
GILEAD SCIENCES
2.23%
NOVARTIS
2.22%
BRISTOL-MYERS SQUIBB
2.22%
MERCK & CO INC
2.21%
MCKESSON
2.19%
AMGEN-T
2.17%
ZXLV
LILLY
14.09%
JOHNSON&JOHNSON
10.54%
ABBVIE
7.10%
UNITEDHEALTH GRP
6.38%
MERCK & CO INC
5.15%
AMGEN-T
3.55%
THERMO FISHER SCIENTIFIC
3.42%
INTUITIVE SURGICAL
3.09%
GILEAD SCIENCES
3.09%
ABBOTT LABS
3.00%
Diversification
TDOC
Total weight of top 10 holdings out of 102 total
22.49%
ZXLV
Total weight of top 10 holdings out of 58 total
59.41%
Characteristics
Compare
TDOC
ZXLV
| Provider | TD Asset Management | BMO |
| Management | Passively managed | Passively managed |
| Benchmark | Solactive Global Healthcare Leaders Index (CA NTR) - CAD | S&P Health Care Select Sector Total Return Index - USD |
| Replication Method | Direct (Physical) | |
| Asset Class | Equity | Equity |
| Dividend Policy | Distributing | Distributing |
| Trailing 12m distribution yield | 1.18% | 0.49% |
| Meets ESG criteria | No | No |
| Inception Date | April 14, 2021 | February 2, 2025 |
Frequently asked questions about TDOC and ZXLV
Which ETF has performed better year to date: TDOC or ZXLV?
As of June 11, 2026, TDOC has returned -2.82% year to date, while ZXLV has returned 1.57%. ZXLV is ahead on YTD performance.
Which ETF is larger by assets under management: TDOC or ZXLV?
As of June 11, 2026, TDOC manages $121.85 M in assets, while ZXLV manages $21.27 M. TDOC is the larger fund by AUM.
How are TDOC and ZXLV managed?
TDOC is passively managed by TD Asset Management. It tracks the Solactive Global Healthcare Leaders Index (CA NTR) - CAD benchmark. ZXLV is passively managed by BMO. It tracks the S&P Health Care Select Sector Total Return Index - USD benchmark.
What sectors do TDOC and ZXLV emphasize?
TDOC is most exposed to Health Care, Consumer Staples, and Information Technology. ZXLV is most exposed to Health Care.
Which ETF is attracting more investor flows: TDOC or ZXLV?
Year to date, TDOC has seen +$29.96 M in net flows, compared with +$6.68 M for ZXLV. TDOC has attracted more net investor money so far.
How do the fees of TDOC and ZXLV compare?
TDOC has an expense ratio of 0.39%, while ZXLV has an expense ratio of 0.21%.
What are the top holdings of TDOC and ZXLV?
TDOC's largest holdings include JOHNSON&JOHNSON and GSK PLC. ZXLV's top holdings include LILLY, JOHNSON&JOHNSON, and ABBVIE.
Which ETF is more diversified: TDOC or ZXLV?
TDOC holds 99 securities, while ZXLV holds 55. On holdings count, TDOC is the more diversified portfolio.
Recent articles about TDOC and ZXLV
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All content on the ETF Market Canada is for your general information use only, Cboe is not responsible for any use of content by you outside this scope. In particular, the content does not constitute any form of advice, recommendation, representation, endorsement or arrangement by Cboe and is not intended to be relied upon by users in making (or refraining from making) any specific investment or other decisions.